[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":67},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-114-1-內外科護理學-018","nurse-114-1-medical-surgical-018",114,1,18,"有關心衰竭之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"右心衰竭會出現心搏過速、心室肥大、第三心音","右心衰竭常出現乾咳或帶有泡沫及血絲痰","左心衰竭早期徵象是下肢水腫、頸靜脈怒張、腹水","左心衰竭常見症狀為呼吸困難、端坐呼吸","D",null,[],"本題考點在於左、右心衰竭的臨床表徵區辨。依血流淤積方向判斷：左心衰竭時血液鬱積於肺循環，故出現呼吸困難、端坐呼吸、夜間陣發性呼吸困難及帶泡沫血絲的痰，D正確為答案。A把第三心音等歸為右心衰竭，實際第三心音與左心室容積負荷過重較相關；B把泡沫血絲痰歸給右心衰竭，此為左心肺水腫特徵；C把下肢水腫、頸靜脈怒張、腹水說成左心衰竭早期徵象，這些其實是右心衰竭體循環鬱血的表現，故A、B、C皆左右顛倒而錯誤。","判讀口訣：左心顧「肺」、右心顧「身」。左心衰竭往後鬱積到肺，症狀集中在呼吸道；右心衰竭往後鬱積到體循環靜脈系統，表現為頸靜脈怒張、肝腫大、下肢凹陷性水腫與腹水。臨床上左心衰竭常為原發，肺壓升高後拖垮右心形成全心衰竭，故末期兩組症狀常並存，但考試以血流方向對應症狀即可精準分辨。",[24,27,30,33,35],{"term":25,"count":26},"端坐呼吸",7,{"term":28,"count":29},"左心衰竭",6,{"term":31,"count":32},"右心衰竭",3,{"term":34,"count":32},"體循環鬱血",{"term":36,"count":37},"肺循環鬱血",2,[39,43,47,52,57,62],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-114-1-medical-surgical-019","有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",19,{"webId":44,"stem":45,"number":46,"year":9,"session":32},"nurse-114-3-medical-surgical-015","有關扁桃腺炎，下列敘述何者最不適當？",15,{"webId":48,"stem":49,"number":50,"year":51,"session":37},"nurse-115-2-medical-surgical-009","下列何者為十二指腸潰瘍病人最常見之主訴？①「吃了東西之後痛得更厲害。」 ②「疼痛很少發生在半夜。」 ③「吃了東西後，疼痛就改善多了！」 ④「半夜常常因為痛而醒來。」",9,115,{"webId":53,"stem":54,"number":55,"year":56,"session":37},"nurse-106-2-medical-surgical-077","針對心臟衰竭病人的評估結果，下列何者最需要護理師密切觀察？",77,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-medical-surgical-041","王太太 50 歲，診斷為急性白血病，入院行高劑量 Ara-C 化學治療後，白血球 3,500\u002Fcumm、嗜中性球為 13%，下列敘述何者正確？",41,108,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-109-1-medical-surgical-075","有關肉毒桿菌中毒的敘述，下列何者錯誤？",75,109,"2026-09-04",1788510757333]